Evidence map›Paper›PMID 41490399›Full record

ArticleJMIR formative research2026

Adapting a Sexual Health Intervention for Adolescents Exposed to Adversity: Feasibility Study.

Terrinieka Powell, Bianca D Smith, Naya Moser, Olivia Kachingwe, Quiana Lewis Wallace, Asari Offiong, Andrea Hwang, Emily Davie, Ashleigh LoVette

Registry-linked trialAbstract read
In one paragraph

Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05033821 (A Library-based Prevention Intervention for Adolescents Affected by Parental Drug Use), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05033821 nacompletednot on this map

A Library-based Prevention Intervention for Adolescents Affected by Parental Drug Use

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2022 to 2023Enrolled61ConditionsSubstance Use, Sexual Behavior, Adolescent BehaviorArmsAdapted FOY+ImPACT
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Terrinieka PowellJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID 0000-0003-3254-059X
Bianca D SmithCareFirst BlueCross BlueShield, Baltimore, MD, United States.ORCID 0009-0006-0200-8518
Naya MoserSchool Mental Health Ontario, Hamilton, ON, Canada.ORCID 0009-0000-6078-2305
Olivia KachingweYale University School of Public Health, New Haven, CT, United States.ORCID 0000-0002-2354-6386
Quiana Lewis WallaceChild Trends, Rockville, MD, United States.ORCID 0000-0002-7463-268X
Asari OffiongUniversity of Michigan School of Public Health, Ann Arbor, MI, United States.ORCID 0000-0003-4947-3696
Andrea HwangDiscovery Mood & Anxiety Program, Long Beach, CA, United States.ORCID 0009-0006-4298-4185
Emily DavieGila River Health Care, Sacaton, AZ, United States.ORCID 0009-0007-3492-8615
Ashleigh LoVetteThe Ohio State University, Columbus, OH, United States.ORCID 0000-0003-1535-7291

Funding

A library-based prevention intervention for adolescents affected by parental drug use K01DA042134 · NIDA · JOHNS HOPKINS UNIVERSITY · PI POWELL, TERRINIEKA WILLIAMS · 2017 to 2022
$1.0M
NIDA NIH HHS K01 DA042134
6 · The paper itself

Abstract

backgroundAlthough sexual exploration is normative during adolescence, sexual activities that are unprotected and occur under the influence of substances can pose significant risks to young people. Youth exposed to adversity are among the groups most vulnerable to sexual risk-taking in adolescence. Selective interventions that consider lived experiences and the local context may help reduce sexual risk-taking among this population.

objectiveThis pilot study assessed the feasibility of participant recruitment and retention as well as participant engagement with an adapted version of Focus on Youth with Informed Parents and Children Together for Black youth exposed to household challenges.

methodsParticipants were recruited using school and community presentations, digital flyers, and referrals. A total of 121 youth from 3 sites in Baltimore, Maryland, were screened. Participants completed 3 assessments: baseline, posttest, and 3-month follow-up. Participant enrollment, session attendance, and assessment completion were used to determine feasibility and engagement. Sexual health knowledge, pregnancy intentions, partner communication, and sexual behaviors were explored as secondary outcomes.

resultsFunded by the National Institutes of Health, the data for this study were collected between January 2022 and April 2023. A total of 61 youth (aged 13-16 years) were recruited and randomized to either the intervention or the control condition (n=33 and n=28, respectively). In total, 87% (53/61) of the participants completed all 3 assessments. There was high engagement: 80% (48/61) of participants attended at least 3 sessions, and 75.2% (115/153) of after-session responses revealed they would recommend a session to a friend. Among the 18 participants who reported having any sex, all 18 (100%) abstained from alcohol use and 12 (67%) abstained from drug use before sex. The intervention group showed a significant increase in sexual health knowledge. No changes in sexual health behaviors or partner communication were observed.

conclusionsFindings suggest that recruiting, retaining, and engaging participants in the adapted Focus on Youth with Informed Parents and Children Together intervention is feasible. Additional research is needed to determine the extent to which this intervention can mitigate sexual risk-taking among youth exposed to adversity. The findings will inform the redesign of our assessments to capture additional factors that may affect sexual health behaviors.

trial registrationClinicalTrials.gov NCT05033821; https://clinicaltrials.gov/study/NCT05033821.

Indexed as

Adolescent BehaviorSexual BehaviorSexual HealthAdolescentBaltimoreBlack or African AmericanFeasibility StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMalePilot ProjectsRisk-Takingadolescentadverse childhood experiencesengagementfeasibilityinterventionrecruitmentsexual health

Identifiers

PMID41490399
PMCPMC12817038

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.